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Modelling the cost of providing ambulance services
Institution:1. Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, PO Box 1089, Blindern, 0317 Oslo, Norway;2. HØKH, Research Center, Akershus University Hospital, Institute of Clinical Medicine Campus Akershus University Hospital, University of Oslo, Norway;1. Department of Radiation Oncology, Nagoya Proton Therapy Center, Nagoya City West Medical Center, Nagoya, Japan;2. Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;3. Department of Proton Therapy Technology, Nagoya Proton Therapy Center, Nagoya City West Medical Center, Nagoya, Japan;4. Department of Proton Therapy Physics, Nagoya Proton Therapy Center, Nagoya City West Medical Center, Nagoya, Japan;5. Osaka Heavy Ion Therapy Center, Osaka, Japan;1. Academic Department of Radiology, Oncologic Center Oscar Lambret, Lille, France;2. Department of Biostatistics, Oncologic Center Oscar Lambret, Lille, France;3. Department of Radiotherapy, Oncologic Center Oscar Lambret, Lille, France;1. Division of Cardiology, Department of Medicine, Massachusetts General Hospital; Cardiac MR PET CT Program, Division of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA;2. Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, Massachusetts, USA;3. Cardiovascular Division, Department of Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, Massachusetts, USA;4. Division of Cardiovascular Medicine, University of California San Diego, San Diego, California, USA;5. Department of Radiology, Brigham and Women''s Hospital and Harvard Medical School, Boston, Massachusetts, USA;6. Pulmonary and Critical Care Division, University of California San Diego, San Diego, California, USA;1. ACCS Anaesthetics, Royal Surrey County Hospital, Guildford, United Kingdom;2. ED Consultant, Royal Surrey County Hospital, Guildford, United Kingdom;1. Department of Electrical Energy, Systems and Automation, Ghent University, Sint Pietersnieuwstraat 41, Blok B2, 9000 Ghent, Belgium;2. Department of Respiratory Medicine, Ghent University Hospital, De Pintelaan 185, 7k12, B9000 Ghent, Belgium
Abstract:The aim of this paper is to study how regional demography and accessibility patterns influence the cost of providing ambulance services. A secondary aim is to project future costs and demand for ambulance services based on population projections. We use data from south-east Norway, an area with both urban and rural areas. Our results show that accessibility patterns, urbanisation and demography are important factors in determining costs. Furthermore, an ageing population and an ongoing process of urbanisation will have an impact on both the demand for ambulance transport and the cost of providing these services.
Keywords:Emergency Medical Services (EMS)  Ambulance costs  Accessibility  Demography  Norway
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